CPT 36902
Global 000 ActiveIntro cath dialysis circuit
CPT 36902 Billing & Documentation Guide
CPT code 36902 (Intro cath dialysis circuit) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.71, a non-facility practice expense RVU of 30.22, and a malpractice RVU of 0.72, a total non-facility RVU of 35.65 and facility RVU of 6.29. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1234.54, though rates vary from $1036.76 to $1643.03 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36902, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 36902 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 36902 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 36902
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.71 | 4.71 |
| Practice Expense RVU | 30.22 | 0.86 |
| Malpractice RVU | 0.72 | 0.72 |
| Total RVU | 35.65 | 6.29 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36902
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1370.37 | $209.99 | $1279.16 - $1643.03 | 29 |
| Florida | $1216.88 | $232.95 | $1158.43 - $1268.9 | 3 |
| Georgia | $1149.28 | $213.74 | $1086.35 - $1212.2 | 2 |
| Illinois | $1179.14 | $231.58 | $1116.47 - $1237.66 | 4 |
| Michigan | $1138.97 | $218.14 | $1106.03 - $1171.91 | 2 |
| North Carolina | $1114.43 | $199.49 | $1114.43 - $1114.43 | 1 |
| New York | $1323.53 | $229.52 | $1133.13 - $1412.19 | 5 |
| Ohio | $1103.12 | $207.78 | $1103.12 - $1103.12 | 1 |
| Pennsylvania | $1173.13 | $212.58 | $1106.65 - $1239.6 | 2 |
| Texas | $1174.25 | $208.8 | $1098.19 - $1246.86 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 36902
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36902 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01930 | Column 1 (primary), can be billed with modifier | Yes | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36902
What does CPT code 36902 mean? +
CPT code 36902 represents: Intro cath dialysis circuit. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 36902? +
The 2026 Medicare national average non-facility payment for CPT 36902 is $1234.54. Rates range from $1036.76 to $1643.03 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36902? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 36902? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
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